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Difference between revisions of "2017-09-29 Learning Health Systems Call"

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*Evelyn will send how to write it up
 
*Evelyn will send how to write it up
 
'''Michelle review of FHIR elements '''
 
'''Michelle review of FHIR elements '''
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*Michelle present current FHIR Care Team, Practitioners, Related persons attributes
+
*[[Media:FHIR_Elements09292017.xlsx| FHIR Elements]]
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**Practitioner.qualification
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*Michelle will send the spreadsheet
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***how is the qualification valueset different from the roleCode
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*Next week -  
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***binding to valueset is specific to particular implementation guide
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**Emma will discuss DCTM
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***Suggestion to include NUCC as example - binding to NUCC is a US approach
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**Care manager qualification certification roles
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***We've agreed to use NUCC in the role element. Agreement there is a lot of overlap.
 
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***If following the individual regardless of care team or patient
 
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***Do the person still carry the qualification when it's irrelevant? E.g. ortho surgeon who specializes in knee replacement but have to do a hip replacement because that's what is needed.
 
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**relatedPerson responsibility
 
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***observation.code and observation focal-subject.reference (extension)
 
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**All family medicine docs are not of the same specialty
 
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***practitionerRole.specialty - can be a grouping of "services offered" Can be 0..*
 
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**Who's the parent, child, POA, etc Currently 0..1 which means single relationship. Can use patient.contact for additional attributes.
 
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**relatedPerson and Patient contact are not at the careTeam level
 
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**CareTeam.participant.role is specific to each care team
 
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**CarePlan and assign performer to specific activity - Care team is in the middle
 
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*Suggestions
 
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**Related person should be 0..* - can use relationship to be parent and use patient.contact.relationship
 
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*Function and role are synonymous or two different things
 
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*Function and responsibility are different
 
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2 spots use role - practitionerRole where specialty goes
 
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participant.role
 
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participant. [later dropped]
 
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participant.responsibility [later changed to function]
 
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careTeam.participant.role - became careTeam.function
 
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practitionerRole.code is a poorly defined valueset (PA to fix)
 
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practitionRole.specialty have the NUCC like grouping
 
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practitioner.role is independent of the patient
 
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Michelle will send the spreadsheet
 
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Next week - Emma will discuss DCP
 
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Care manager qualification certification roles
 
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Evelyn: my ask is to consider use case where the care team may be using a non clinical IT system (no EHR). Are they using a care management platform
 

Latest revision as of 22:08, 29 September 2017

Facilitator Russell Leftwich Note taker(s) Emma Jones
Attendee Name Affiliation


X Russell Leftwich InterSystems
John Roberts Tennessee Department of Health
X Stephen Chu Individual
X Evelyn Gallego ONC
Kathy Walsh LabCorp
Asim Muhammad Philips Research Europe
X Laura Heermann-Langford Intermountain Healthcare
X Emma Jones Allscripts
Jeff Brown Cancerlinq
X Lisa Nelson Individual
Dave Carlson VA
Chris Melo Phillips Healthcare
X Michelle Miller Cerner
Benjamin Kummer Columbia University
Matt Rhan
X Michael Padula
X Joseph Quinn
X Thomson Kuhn
X Rob Hausum
Serafina Versaggi VA

Minutes

  • Chair: Russell Leftwich
  • Scribe: Emma Jones
  • Motion to approve previous call minutes, [1] : Stephen moved/Emma second

ISA Feedback from LHS

  • Include DCTM in ISA as an emerging standard. Emma will write up and present to the group to vote on next meeting. Include:
    • Section and Interoperability Need
      • Including the link to the ISA Interoperability Need page would be ideal.
    • Suggestion
      • Can include corrections, changes to adoption level, maturity, etc.
    • Rationale
      • Be realistic, practical, don’t oversell
      • Be as positive as possible though
  • Suggestion to include as an emerging standard
  • Evelyn will send how to write it up

Michelle review of FHIR elements

  • FHIR Elements
  • Michelle will send the spreadsheet
  • Next week -
    • Emma will discuss DCTM
    • Care manager qualification certification roles
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